Healthcare Provider Details

I. General information

NPI: 1679436638
Provider Name (Legal Business Name): RESOLVE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1243 E BROAD ST
COLUMBUS OH
43205-1404
US

IV. Provider business mailing address

1243 E BROAD ST
COLUMBUS OH
43205-1404
US

V. Phone/Fax

Practice location:
  • Phone: 614-321-7734
  • Fax: 614-321-8871
Mailing address:
  • Phone: 614-321-7734
  • Fax: 614-321-8871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KENNETH NWOGU
Title or Position: CEO
Credential:
Phone: 614-321-7734